MEDICARE: TAHMINA K AHMED M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0060100	MD
2	207R00000X	Internal Medicine Physician	MD034303	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101373	OTHER	MD	PRIORITY PARTNER
2	190979	OTHER	MD	AMERIGROUP, MARYLAND
3	1149946	OTHER	MD	AETNA HMO
4	552 ATK	OTHER	MD	BCBS MARYLAND
5	J4970001	OTHER	DC	BCBS DC
6	5655220	OTHER	MD	COMMUNITY CARE NETWORKPPO
7	101373	OTHER	MD	JOHNS HOPKINS HEALTH CARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	7582511	OTHER	MD	AETNA

General Provider Information

NPI Number	:	1932165396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAHMINA K AHMED M.D

Provider Business Mailing Address
First Line	:	9716 FOREST GROVE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1414
Country	:	US
Telephone Number	:	301-681-8797
Fax Number	:	301-681-8797

Provider Business Practice Location Address
First Line	:	831 UNIVERSITY BLVD E
Second Line	:	SUITE 27
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2916
Country	:	US
Telephone Number	:	301-445-9595
Fax Number	:	301-445-4499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	10/31/2011

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Directions to “ TAHMINA K AHMED M.D” Practice Location

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